Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | G6481 | TX |
N | 2084N0600X | Clinical Neurophysiologist | G6481 | TX |
NPI | 1033290119 |
---|---|
Provider Name | Dr. Gregory Sterling Carter |
First Address | Dallas, TX 75219-4819 |
Second Address | Dallas, TX 75390-8842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 06/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046994203 | (05) | TX |
A72706 | (02) | TX |